WILLOW RIVER DENTAL PLLC
NPI 1316714728
Clinic/Center in Ann Arbor, MI

Q: What is Willow River Dental PLLC's NPI number?

The NPI number for Willow River Dental PLLC is 1316714728. It was assigned to this organization in the NPPES registry on December 6, 2023.

Q: What is Willow River Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since December 06, 2023

625 E LIBERTY ST STE 202, ANN ARBOR, MI 48104(734) 668-6612 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Willow River Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW RIVER DENTAL PLLC (NPI 1316714728) is a healthcare organization registered as a clinic/center in Ann Arbor, Michigan and active in the NPI registry since December 2023. The organization lists Katherine Ann Latendresse, Owner, as its authorized official.

NPPES Registry Identity

NPI1316714728

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameWILLOW RIVER DENTAL PLLC

Location Address625 E LIBERTY ST STE 202Ann Arbor, MI 48104-2013

Mailing Address625 E Liberty St Ste 202Ann Arbor, MI 48104-2013 · (734) 668-6612

Phone(734) 668-6612

Organization SubpartNo

Authorized OfficialKatherine Ann LatendresseOwner · (906) 201-0852

Enumeration DateDecember 6, 2023

NPPES CertifiedDecember 6, 2023

✔ NPI 1316714728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

625 E LIBERTY ST STE 202, Ann Arbor, MI 48104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BARBARA ANNE-NESBITT EMERICK DDS

Dentist

625 E LIBERTY ST STE 202
ANN ARBOR, MI 48104

Washtenaw County (734) 665-5838

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow River Dental PLLC's NPI number?

The NPI number for Willow River Dental PLLC is 1316714728. It was assigned to this organization in the NPPES registry on December 6, 2023.

Where is Willow River Dental PLLC located?

Willow River Dental PLLC is located at 625 E Liberty St Ste 202, Ann Arbor, MI 48104. The listed phone number is (734) 668-6612.

What is Willow River Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Willow River Dental PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Willow River Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow River Dental PLLC was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.